Bella Vista Dentistry (719) 593-9182
Menu
**Please click the link below to print the complete Authorization to Release Dental Records.
Be sure to fill out both pages and return them to our office.**
authorization_for_the_release_of_dental_records.doc
File Size:
34 kb
File Type:
doc
Download File
Home
Our Services
Dr. Levasseur
Staff
Gail - Office Manager
Susan - Dental Assistant
Pam - Dental Hygienist
Patient Information
Glossary of Dental Terms
New Patient Forms
Financial Options
Records Release Authorization
Colorado Marijuana Law
Why We Went Paperless
Office Tour
Map
Office Information
Home
Our Services
Dr. Levasseur
Staff
Gail - Office Manager
Susan - Dental Assistant
Pam - Dental Hygienist
Patient Information
Glossary of Dental Terms
New Patient Forms
Financial Options
Records Release Authorization
Colorado Marijuana Law
Why We Went Paperless
Office Tour
Map
Office Information